III. Program description using the evidence-based best practice.
A. Practice or intervention strategy
A research was conducted as to identify effective intervention modalities and an evidence-based practice model specifically to address the identified needs and problems of the Cal-works participants. We decided to conduct an investigation as well as an evaluation of the most recognized agencies piloting vocational/educational trainings in the Imperial Valley County. One of the agencies is the Center for Employment Center (CET) which is a non-profit organization designed to help the adult population in overcoming their barriers by integrating workplace and life skills development (CET, 2016). The other agency is the Imperial Valley
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Our model would be sensitive to diverse individuals, because it would give the right to participants (including involuntary) to identify their concerns. Additionally, the selection of the solution focused therapy to be included in our model was mainly because it conveys respect to the client and provides them with realistic hope and stability during the therapy process. Further, it enables the clients to replace self-destructive expectations with hopeful, yet realistic view of the future (Walsh, 2013). Overall, our model will empower the participants by allowing them to define the problem, contribute judgment about tasks and goals, and practice monitoring progress. Most important of all, this model honors participants’ self-determination and strengths.
Additionally, we determined that in order to effectively address the specific problems of the targeted population, it would be necessary to utilize three modalities in the intervention: group and individual sessions, and case management. Furthermore, through hands-on activities, direct instruction and task analysis techniques, participants would have the opportunity to develop new strategies and skills to accomplish their short and long term goals. Research has shown the task-centered approach to be effective with interpersonal and family problems, emotional distress, drug use, mental health and health-related
This paper will focus on client’s presenting concerns and her biopsysocial system. Reader will explore how Solution Focused Therapy and Harm Reduction Therapy are relevant to client’s problems and why they would be most effective for client. Two intervention models that are relevant to the theories chosen will be outlined and how they relate to the client. An intervention plan that includes goals for the client will be evaluated and measured. Finally, the paper will discuss how the model chosen for intervention will have an impact on the macro level of change.
Solution focused therapy is a model of therapy developed by Steve de Shazer and Insoo Kim Berg in the late 1970's (Dolan, n.d.). This model has become well known for its non-traditional approach to client problems as it does not explore clients issues in relation to their cause and affect but rather the goals and solutions to achieving a future free of any present issues. i will be discussing the evident concepts, principles and intervention techniques of this particular model. it will be explored in the context of a case scenario of a therapy session to observe how the model can be actively applied to therapy sessions and why this is the best model to meet the client's needs. The effectiveness of the model
Solution-focused therapy is different from narrative and collaborative therapy because it focuses more on discovering solutions to problems by asking miracle and scaling questions (Goldenberg & Goldenberg, 2013). Solution-focused therapists utilize miracle and scaling questions to help clients change their thoughts and behavior. Miracle questions challenge clients to think about what their lives could be like if all their problems suddenly went away and were solved (Henderson & Thompson, 2016). Scaling questions challenge the client to magnify their view of the current circumstance (Goldenberg & Goldenberg, 2013). Solution-focused therapy is also different from narrative and collaborative therapy because the counselor leads the counseling session. Counselors lay out clear expectations for their clients to change, and expect them to actively participate in counseling so change occurs. The third difference between the three approaches is that solution-focused therapy is complaint-based, while narrative and collaborative therapy is not (Goldenberg & Goldenberg, 2013). Clients come to counseling with a complaint, and counselors typically work with those who ready and willing to change. Another difference is that solution-focused therapy consists of five steps, which are “co-constructing a problem and goal, identifying and amplifying exceptions, assigning tasks, evaluating effectiveness, and reevaluating problems and goals” (Goldenberg & Goldenberg, 2013, p. 382). Collaborative and narrative therapy do not follow these five
Measures used to evaluate the outcome of the evidence-based practice (EBP) change will be reviewing quarterly dashboard data. To ensure inter-rater reliability, the infection control nurse, and only the infection control nurse, will monitor ongoing efforts of data collection of CAUTI, and be an integral part of the feedback loop responsible of giving on-sight feedback to clinicians and team members. Also, the infection control nurse along with other team members will revisit the literature to see if any new knowledge focused triggers will be considered. The quarterly dashboard will inform of outcome indicators which may, or may not, affect the process indicators. Process and outcome indicators will be used for improvement purposes within the unit. The quarterly dashboard report also allows questions to be asked by team members and stakeholders, which stimulates more discussion and advanced thought toward quality improvement of the EBP change. The dashboard will assist in
In the first session that was held with client Jane Smith it was to determine what the client was suffering from. Counselor agreed with community social worker that client exemplifies characteristics of Agoraphobia. The key characteristic that was identified in client’s behavior was that she does not leave her home. Client has a fear of being in public places. Client depends on her granddaughter to do all of her out of the home errands. After a multitude of characteristics were identified, intervention/treatment plan can be developed. Client alongside counselor will work together to develop an effective treatment plan. In reference to CBT a treat plan is “strategy between patient and therapist that gives direction to therapeutic process”. Client will be in charge of developing three goals that she will like to complete or work toward during sessions.
Upon establishing a therapeutic alliance and building rapport, Adam was insightful in identifying treatment goals for therapy. Stressing the recovery model, Adam and I, were determine to set reachable goals that were attainable during short-term therapy consisting of 12, one hour, weekly sessions.
The task-centered model was developed by William Reid and Laura Epstein with the goal to implement an effective short-term intervention that focuses on resolving psychosocial problems that the client has identified as the main tasks of the intervention. The task centered model emphasizes on helping clients develop and achieve desire tasks or actions to alleviate their problems and identifies clients as the primary agents of change. Its theoretical framework has been influenced by learning theory, Perlman’s problem solving approach, and behavioral
These theories relate to my own viewpoints and attitudes. The view of human nature, the problems associated with human nature, the process of changing, and how I will use these theories in practice are the four main topics that will be discussed in the paper. These topics will also explain, in detail, the effectiveness of each theory and the counselor’s role.
This term paper is about solution-focused therapy and experiential therapy. In solution-focused therapy, the therapy does not emphasize the problem at all; it stresses and highlights the solution. The client is the expert and not the therapist. The experiential approach is often used to facilitate meaningful changes in individuals. SFBT is a short-term goal focused therapeutic approach which directs clients to focus on developing solutions, rather than on dwelling on problems. The theoretical framework, how change occurs, therapeutic techniques, postmodern perspective, the role of the therapist and some clinical examples are given in this term paper.
Therefore in addition to speech therapy and occupational therapy, this author would also add developmental therapy to his individual education program. In his plan, we would focus on Dannon’s social and emotional skills, along with his communication skills, which are the main concerns of Ellen. The therapeutic methods recommended will focus on Dannon’s ability achieve the goals set. According to Walsh (2016) “The goals of intervention in solution-focused therapy are for clients to focus on concrete solutions to their problems or challenges, discover exceptions to their problems (times when they are not happening), become more aware of their strengths and resources, and learn to act and think differently.” (P.
Cognitive behavioral therapy (CBT) is a short-term, problem-centered therapy that is used to address psychopathology within the individual (Beck, 1995). This model of therapy is used to address issues of depression, anxiety, eating disorders, relational problems, and drug abuse, and can be utilized when working with individuals, as well as within group and family modalities. The core aspects of this therapy include collaboration and participation by the client, a strong alliance between therapist and client, and an initial focus on current problems and functioning (Beck, 1995). The theory of CBT emphasizes the relationship between the individual’s thoughts feelings and behaviors, which is seen as being the underlying cause of
This essay is going to highlight the similarly and differences of the models and their main focus, and how the two models Gerald Egan The Skilled Helper and Steve De-Shazer Solution Focused Therapy will help the clients choose goals that best fit their environment and resources. The aim of using these models is to help people.
The therapist’s role is to lead the client to behavioral change and to assist in an effective and efficient way. Solution focused therapist believe that the client is the expert in their own life and are capable to solve their
I feel like all of these interventions helps a client look at the problem through different lenses. The other interventions for solution-focused and solution-oriented therapy are signs and questions of difference, compliments and coping questions, embedded massages etc. All of these interventions allows the therapist to peel different levels of the client to find solution for why made them seek therapy. This therapy helps the client address the problem by reliving the past and looking at the future. For instance, exception questions ask the client to think about a time they didn’t have the problem. On the other hand, the miracle questions ask the client a future without the problem. “Solution-focused and solution-oriented therapist focus on small, achievable changes that may lead to additional positive outcome” (p.295). I think change should start small and gradually increase with time. When I create my clients goals, I always make sure that their goals are small and achievable. I really like how solution-focused and solution oriented therapy focuses on different questions that a therapist can use to help the client view the problem in a different
Understanding that solution-focused therapists operate under the assumption that clients already have the necessary skills to solve their problems, it is our job as therapists to help them regain insight into their problems. Therefore, it is understandable why solution-focused therapy is considered a brief therapeutic approach. If the clients already have the ability to solve their own issues then they just need to be reminded of their strengths and resources, shifting the focus.